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作 者:常江平[1] 王风[1] 史明[1] 曾少明[1] 叶少波[1] 张忠林[1]
出 处:《临床医药实践》2007年第3期187-188,共2页Proceeding of Clinical Medicine
摘 要:目的:提高对良性前列腺增生切除术后发生前列腺癌(Pea)的认识。方法:回顾性分析前列腺切除术后经病理证实的12例Pea患者资料,对其发病机制、治疗等进行探讨。结果:12例术后病理为良性前列腺增生(BPH),其中4例在术后2年内、3例在术后4~5年、2例在术后8年发生Pea,3例在术后10年以后发生。经姑息性手术及内分泌治疗,6例死于广泛转移,其余6例至今仍带瘤存活。结论:前列腺切除术后仍可能发生Pea,术后应定期随诊,可及早发现术后Pea。Objective:To increase the knowledge of prostate cancer (Pca)which occurred after prostatectomy. Methods:Twelve cases of Pca confirmed by pathological examination after prostatectomy for benign prostatic hyperplasia (BPH)were analysed retrospectively. The mechanism and treatment of this disease were discussed with a review ofliterature. Results :Twelve cases were all confirmed BPH by pathological examination. Four cases were found Pca af- ter prostatectomy with in 2 years,Three cases after from 4 years to 5 years ,two cases after 8 years,three cases after 10 years later. After palliative operations and endocrine therapies,six died of wide spread metastasis and six patients still survive. Conclusion:Pca can still occur after prostatectomy for BPH. The patients after prostatectomy should be followed up at regular intervals in order to make early diagnoses.
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